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NPI Code Detail

MEDICARE: KEELY BISHOP TOWSON PT

MEDICARE:   KEELY BISHOP TOWSON  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7131GA

General Provider Information

NPI Number : 1942221932
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEELY BISHOP TOWSON PT
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE
Second Line : SUITE 1165
City : ATLANTA
State : GA
Zip : 30308-2247
Country : US
Telephone Number : 404-523-7709
Fax Number : 404-681-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 07/08/2007

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Directions to “ KEELY BISHOP TOWSON PT” Practice Location

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